Cardiovascular/Thoracic Surgery

Profile

Updated December 2019

1

Slide

Table of ContentsGeneral Information 3-5Total number & number/100,000 population by province, 2019 6Number/100,000 population, 1995-2019 7Number by gender & year, 1995-2019 8Percentage by gender & age, 2019 9Number by gender & age, 2019 10Percentage by main work setting, 2014 11Percentage by practice organization, 2014 12Hours worked per week (excluding on-call), 2014 13On-call duty hours per month, 2014 14Percentage by remuneration method 15Professional & work-life balance satisfaction, 2013 16Number of retirees during the three year period of 2016-2018 17Links to additional resources 18

2

General informationFor purposes of presenting the data provided in the National Physician Survey (NPS), the specialties of cardiac surgery and thoracic surgery are combined (and will henceforth be referred to as CVT surgery). However, The Royal College of Physicians and Surgeons of Canada separate these specialties for certification purposes and as such, the following description and training requirements appear for both.Cardiac Surgery is the area of surgery that deals with diseases of the pericardium, heart and vessels. Procedures that are performed include coronary artery bypass, valve repair or replacement, heart transplantation, replacement of the aorta, pulmonary thromboendarterectomy and procedures to correct congenital abnormalities. It is a demanding, technical specialty that is very diverse. It exposes practitioners to a wide variety of medical problems and requires them to interact often with other physicians including the operating room team comprised of specialized nurses, technicians and anesthetists.

Source: Pathway evaluation program 3

General informationAfter completing medical school, there are three pathways one can take to become certified in cardiac surgery that include 6 years of approved residency training in the disciplines of core general surgery, cardiac, vascular and thoracic surgery.Thoracic surgery is the branch of surgery concerned with congenital and acquired diseases of the chest wall, mediastinum, lungs, trachea, pleura, esophagus and diaphragm. After completing medical school, to become certified in thoracic surgery requires that you first obtain Royal College Certification in general surgery, cardiac surgery, or enrolment in a Royal College-approved training program in these areas. All candidates must be certified in their primary specialty in order to be eligible to write the Royal College certification examination in thoracic surgery.For further details on training requirements please go to:Royal College of Physicians and Surgeons of Canada

Source: Pathway evaluation program 4

General informationCVT surgeons have a great deal of direct patient contact, which can be viewed as a positive aspect of this specialty. While patients are often seriously ill, treatment can result in immediate and dramatic improvement. It involves long and irregular hours, which can take its toll on the physician’s personal lifestyle. Life-and-death situations and emergencies requiring rapid, critical decisions are major causes of pressure within this specialty. For further details on training requirements please go to:Canadian Cardiovascular Society

Source: Pathway evaluation program 5

Total number & number/100,000 population by province, 2019

Province/Territory Physicians Phys/100k pop'n

Newfoundland/Labrador 7 1.3

Prince Edward Island 0 0.0Nova Scotia 16 1.7

New Brunswick 8 1.0Quebec 76 0.9Ontario 143 1.0

Manitoba 16 1.2Saskatchewan 10 0.9

Alberta 41 0.9British Columbia 49 1.0

Territories 0 0.0

CANADA 366 1.0

Source: 2019 CMA Masterfile 6

Number/100,000 population, 1995 to 20191.05

1.00

0.95

0.90

0.85

0.801995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019

Source: 1995-2019 CMA Masterfiles 7

Number by gender & year, 1995 to 2019400

350

300

250

200

150

100

50

01995 1997 1999 2001 2003 2005 2007 2009 2011 2013 2015 2017 2019

Total Males Females

Source: 1995-2019 CMA Masterfiles 8

Percentage by gender & age, 2019

Gender11%

89%

Male Female

Age Group1%

20% 20%

28%31%

65+ 55 - 64 45 - 54 35 - 44 < 35

Excludes those where gender or age is unknown.

Source: 2019 CMA Masterfile 9

Number by gender & age, 2019

65+ 7 62

55-64 10 88

45-54 10 97

35-44 11 60

<35 1 3

Female Male

Excludes those where gender or age is unknown.

Source: 2019 CMA Masterfile 10

Percentage by main work setting, 2014*

Academic Health Sciences Centre 64%

Community Hospital 12%

Non-AHSC Teaching Hospital 11%

Free-standing Lab/Diag Clinic 3%

Free-standing Walk-in Clinic 3%

Private Office/Clinic 3%

University 1%

*Most recent available data for this specialty

Source: 2014 National Physician Survey. CFPC, CMA, Royal College 11

Percentage by practice organization, 2014*

0%13%

13% Solo Practice

Group Practice

Interprofessional Practice2%

Hospital-based Practice

NR72%

*Most recent available data for this specialty

Source: 2014 National Physician Survey. CFPC, CMA, Royal College 12

Hours worked per week (excluding on-call), 2014*Activity Hours worked per week

Direct patient care without teaching component 30.6

Direct patient care with teaching component 14.2

Teaching without patient care 4.0

Indirect patient care 6.1

Health facility committees 1.3

Administration 3.6

Research 2.8

Managing practice 3.4

Continued professional development 3.2

Other 0.4

TOTAL HOURS PER WEEK 69.6

*Most recent available data for this specialtySource: 2014 National Physician Survey. CFPC, CMA, Royal College 13

On-call duty hours per month, 2014*2%

22%29%

Up to 120 hrs/monthMore than 120, up to 180 hrs/monthMore than 180, up to 240 hrs/monthMore than 240 hrs/monthNo response

22%

25%

Time spent on call in direct patient care = 49 hrs./month

*Most recent available data for this specialtySource: 2014 National Physician Survey. CFPC, CMA, Royal College 14

Percentage by remuneration methodPrimary payment method1 in 2013**

5%

28%

50%

8%

10%90% + fee-for-service 90% + salary90% + other* BlendedNR

Average gross payment per physician for Cardiovascular/Thoracic surgery in 2017/18 (those earning at least $60,000) = $620,5542

*Other includes capitation, sessional, contract and other methods**Most recent available data for this specialty1 National Physician Survey, 2013, CFPC, CMA, Royal College 2 National Physician Database, 2017/18, CIHI

15

Professional & work-life balance satisfaction, 2013*

Balance of personal & professional 10% 35% 22% 33%commitments

Current professional 10% 17% 21% 53%life

NR Dissatisfied or very dissatisfied Neutral Satisfied or very satisfied

*Most recent available data for this specialtySource: 2013 National Physician Survey. CFPC, CMA, Royal College 16

Number of retirees during the three year period of 2016-2018

Male Female8 8

1 1

34 and Under 35-44 45-54 55-64 65 and over TotalAge Group

Source: CMA Masterfile – year over year comparisonsNote: “Retired” is based on giving up licence and therefore excludes those who have retired from clinical practice but are still licensed; those younger than 45 may include physicians who have temporarily given up their licence but return to practice at a later date. 17

Links to additional resources

Association of Faculties of Medicine of Canada

Canadian Institute for Health Information

Canadian Medical Association’s Physician Data Centre

Canadian Post-MD Education Registry (CAPER)

College of Family Physicians of Canada

National Physician Survey (2004-2014)

Royal College of Physicians and Surgeons of Canada

18